PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
April 3, 2020Statistics in Medicine181 citationsOpen Access

STRATOS guidance document on measurement error and misclassification of variables in observational epidemiology: Part 1—Basic theory and simple methods of adjustment

View Full Paper
RKRuth H. KeoghPSPamela A. ShawPGPaul Gustafson

Key Points

  • To review the theoretical concepts and analytical impacts of measurement error and misclassification in observational epidemiology and outline practical statistical methods for bias correction.
  • Reviewed classical, linear, and Berkson measurement error models alongside differential and nondifferential misclassification frameworks.
  • Evaluated sample size considerations and study design principles for ancillary validation studies and primary epidemiological investigations.
  • Demonstrated regression calibration and simulation extrapolation (SIMEX) bias-adjustment methods using data from the Observing Protein and Energy (OPEN) dietary validation study.
  • Measurement error and misclassification distort exposure-outcome effect estimates, reduce statistical power, and bias regression coefficients in observational studies.
  • Ancillary validation studies provide the essential statistical parameters needed to quantify measurement error variance and structure.
  • Simpler statistical correction methods, specifically regression calibration and SIMEX, successfully mitigate bias in continuous covariate regression models when supported by available software packages.

Abstract

Measurement error and misclassification of variables frequently occur in epidemiology and involve variables important to public health. Their presence can impact strongly on results of statistical analyses involving such variables. However, investigators commonly fail to pay attention to biases resulting from such mismeasurement. We provide, in two parts, an overview of the types of error that occur, their impacts on analytic results, and statistical methods to mitigate the biases that they cause. In this first part, we review different types of measurement error and misclassification, emphasizing the classical, linear, and Berkson models, and on the concepts of nondifferential and differential error. We describe the impacts of these types of error in covariates and in outcome variables on various analyses, including estimation and testing in regression models and estimating distributions. We outline types of ancillary studies required to provide information about such errors and discuss the implications of covariate measurement error for study design. Methods for ascertaining sample size requirements are outlined, both for ancillary studies designed to provide information about measurement error and for main studies where the exposure of interest is measured with error. We describe two of the simpler methods, regression calibration and simulation extrapolation (SIMEX), that adjust for bias in regression coefficients caused by measurement error in continuous covariates, and illustrate their use through examples drawn from the Observing Protein and Energy (OPEN) dietary validation study. Finally, we review software available for implementing these methods. The second part of the article deals with more advanced topics.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Keogh et al. (2020) studied this question.

synapsesocial.com/papers/69dd38cf21232b10ec40c3fahttps://doi.org/10.1002/sim.8532
Ask AI
Helpful
Bookmark
Share
View Full Paper